Weeks 28–40

Third trimester: monitor progress and prepare the transition to hospital

The aim is to review maternal and fetal progress, identify changes requiring another level of care and reach hospital with organised information.

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  • Obstetric consultation
  • Advanced ultrasound
  • Laboratory and screening
  • Late-pregnancy monitoring
  • Nutrition
Third trimester: monitor progress and prepare the transition to hospital
Complementary follow-upAskabide + Osakidetza · birth at the reference hospital

Maternal and fetal checks

  • Blood pressure and symptoms.
  • Fetal growth and biometry when indicated.
  • Fetal presentation, placenta and amniotic fluid.
  • Fetal movements and wellbeing in context.
  • Review of laboratory results and risk factors.

Third-trimester ultrasound

This may assess growth, presentation, placenta, fluid and other parameters. Doppler is used when clinically indicated or included in the relevant examination protocol.

Growth ultrasound

What is measured and how percentiles and estimates are interpreted.

Open information

Askabide protocol from week 36

We may include weekly cardiotocography from week 36. The recording observes fetal heart rate and uterine activity during a defined period. A reactive trace is reassuring for the recorded period, but it does not guarantee future progress.

Frequency is individualised and monitoring does not replace hospital assessment when there are symptoms, risk factors or findings.

Continuity on arrival at hospital

  • Take relevant ultrasound and laboratory reports.
  • Know your reference hospital and obstetric emergency pathway.
  • Do not wait for the next appointment if warning signs occur.
  • Follow the hospital team’s instructions once their specific pathway starts.

Birth at the reference hospital

Why Askabide does not provide birth care and how we coordinate the final stage.

Open information

Clinical sources

General information only. It does not replace an individual medical assessment or recommendation.

Reviewed 19 August 2026

Would you like to organise your follow-up?

Choose Donostia, Vitoria-Gasteiz or Bilbao. We will explain which checks we provide and how to combine them with public care.